Job Role Description

Medical/Healthcare > Medical Accounts Receivable (A/R) Specialist

Salary National Average

Low Medium High
1.0000 1.0000 1.0000

Supply and Demand

Candidate Supply: 0 Job Openings: 0

0 50 100

More Difficult Less Difficult

Salary Variance

Enter City, State to view local salaries and candidate demand.

Short Description:

A Medical Accounts Receivable (A/R) Specialist is responsible for managing and processing patient and insurance account balances to ensure accurate and timely revenue collection. They review billing statements, follow up on unpaid claims, and resolve discrepancies with patients, providers, or payers. The role involves maintaining detailed records, preparing reports, and collaborating with finance and billing teams to support revenue cycle efficiency. Medical A/R Specialists help optimize cash flow, improve collection processes, and maintain compliance with healthcare regulations. Strong attention to detail, communication, and analytical skills are essential for success in this role.

Duties / Responsibilities:

  • Monitor and manage patient and insurance account balances to ensure timely collection of outstanding payments
  • Review and reconcile A/R accounts, identifying discrepancies and resolving billing issues
  • Verify insurance coverage, eligibility, and pre-authorization requirements for medical services
  • Prepare and submit claims to insurance providers, following payer-specific guidelines and coding requirements
  • Communicate with patients, insurance companies, and internal departments to resolve payment or billing inquiries
  • Track denials, appeals, and underpayments, initiating corrective actions and follow-ups as needed
  • Generate reports on A/R performance, aging, and trends for management review
  • Collaborate with billing, coding, and finance teams to improve revenue cycle processes and reduce outstanding balances
  • Maintain compliance with healthcare regulations, HIPAA, and internal policies in all billing and collection activities
  • Provide guidance and support to junior staff or colleagues on A/R procedures and best practices

Skills / Requirements / Qualifications

  • Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or related field preferred
  • Experience: 2–4 years of experience in medical billing, accounts receivable, or revenue cycle management
  • Technical Skills: Proficiency in medical billing software, electronic health records (EHR), and Excel or other reporting tools
  • Analytical Skills: Ability to review accounts, identify discrepancies, and resolve complex billing issues
  • Attention to Detail: Accuracy in processing claims, documenting communications, and reconciling accounts
  • Regulatory Knowledge: Understanding of HIPAA, insurance guidelines, CPT/ICD coding, and revenue cycle compliance
  • Communication: Strong verbal and written skills for interacting with patients, insurers, and internal teams
  • Problem-Solving: Ability to investigate and resolve payment discrepancies, denials, and appeals efficiently

Job Zones

  • Title: Job Zone Three: Medium Preparation Needed.
  • Education: Most occupations in this zone require vocational school training, on-the-job experience, or an associate's degree.
  • Related Experience: Previous work-related skill, knowledge, or experience is required for these occupations. 
  • Job Training: Employees in these occupations usually need one or two years of on-the-job experience and informal training with experienced workers. A recognized apprenticeship program may be associated with these occupations.
  • Job Zone Examples: These occupations usually involve communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. 
  • Specific Vocational Preparation in years: 1-2 years preparation (6.0 to < 7.0)

Share Role Details

Return to job listings